Christopher J Wittmann, PAC

Key facts

NPI

1437199486

Entity type

Individual (NPI type 1)

Primary specialty

Surgical Physician Assistant 363AS0400X

License

PA9102804 (FL)

Practice address

8146 Cerebellum Way
Suite 102
Trinity, FL 34655-1784

Phone

(727) 264-8865

Fax

(727) 608-4479

NPI assigned

Jun 7, 2006

Sex

Male

Sole proprietor

No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Trinity Pain Center LLC Interventional Pain Medicine Physician · Trinity, FL · NPI 1942525688
  Medicare reassignment FL
• Gulf Coast Pain Management Physicians Interventional Pain Medicine Physician · Palm Harbor, FL · NPI 1881877538
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: christopher.wittmann@trinitypaincenter.eclinicaldirectplus.com

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 27, 2010.

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282867200000",
    "number": "1437199486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8146 CEREBELLUM WAY",
            "address_2": "SUITE 102",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346551784",
            "telephone_number": "727-264-8865",
            "fax_number": "727-608-4479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8146 CEREBELLUM WAY",
            "address_2": "SUITE 102",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346551784",
            "telephone_number": "727-264-8865",
            "fax_number": "727-608-4479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTMANN",
        "first_name": "CHRISTOPHER",
        "middle_name": "J",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2010-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9102804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Thirslon Williams, LMHC
• Jason Wilson
• Casey A Winslow, PMHNP
• Leeann Wisnowski, ARNP
• Craig Robert Wolff, M.D.
• Christine M Womack, ARNP-C
• Womens Care Florida LLP
• Womens Care Florida LLP
• Janae Wood

All providers in Trinity, FL · Surgical Physician Assistant in Florida